New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

If the end of the umbilical cord is bleeding after clamping and cutting, what is the most appropriate action?

1. Apply another clamp as close to the original as possible

2. Purge the area with antiseptic

3. Apply pressure directly on the cord

4. Wait for further instructions from medical personnel

The correct answer is: Apply another clamp as close to the original as possible

Applying another clamp as close to the original as possible is the most appropriate action to take when the end of the umbilical cord is bleeding after clamping and cutting. This technique helps to minimize blood loss by creating a secure occlusion at the site of the bleeding. When the umbilical cord is cut, the blood vessels within it may not be effectively sealed by the initial clamp if there is any movement or if the clamp was not applied firmly enough. The second clamp serves to reinforce the first, ensuring that the blood vessels are tightly closed. This intervention is particularly critical in newborn care, as excessive bleeding from the umbilical cord can lead to significant blood loss and other complications. In contrast, purging the area with antiseptic does not address the immediate concern of bleeding and may not be appropriate in the context of an active situation requiring rapid intervention. Applying direct pressure on the cord may not be effective, as it could potentially cause further injury to the vessels or disrupt the clamping. Lastly, waiting for further instructions from medical personnel in an emergency situation could delay necessary care and lead to worsening of the issue at hand, which emphasizes the need for immediate action in such scenarios.